The nurse assesses the patient’s capillary refill time to be 5 seconds. Which inference from this assessment is most appropriate?

The 1-year-old with sickle cell disease is in crisis following gastroenteritis. While hospitalized, the patient abruptly exhibits seizures, decreased level of consciousness, right-sided facial asymmetry when crying, coughing and sputtering during a bottle feeding, and decreased movement of the right leg and arm. The nurse contacts the provider and prepares to provide which initial interventions? Select all that apply.  

The nurse is assigned to the care of an adolescent patient. On physical assessment, the patient has less than expected muscle tone, slight gynecomastia, and microorchidism. The patient’s karyotype is 47,XXY. Which of the following syndromes does this patient have?